Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History.

Details

• Alternative Title:
  Psychological Services, 2025, v. 22, no. 4: Community-academic Implementation Science Partnership to Examine Adoption and Impact of a Patient-centered Approach to Sexual History.
• Journal Article:
  Psychological Services
• Personal Author:
  Golub, Sarit A. ; Hubbard, Stephanie ; de Roche, Ariel M. ; Barton, Staci C. ; Merges, Angela ; Klein, Augustus
• Description:
  Progress toward ending the HIV epidemic has been slowed by suboptimal utilization of effective biomedical interventions (e.g., HIV testing, pre-exposure prophylaxis), especially for populations with the highest incidence. In 2021, the New York City Health Department initiated a multilevel implementation strategy, focused on promoting the GOALS Approach to Sexual History and Health-an antistigmatizing, client-centered strategy for sexual history taking-as a lever for increasing HIV intervention adoption, reach, and equity. Project Partnership to Increase Access, Client-Centered Care, and Equity in HIV Services is a community-academic implementation science partnership designed to investigate the impact of strategy enactment on implementation outcomes, including changes in intervention utilization (HIV testing, sexually transmitted infection testing, pre-exposure prophylaxis) in practice over time. This article presents preliminary implementation outcomes collected from the 19 programs (client
  
  = 8,865) funded to adopt GOALS. Data indicate the successful enactment of systems-level strategies (infrastructure development, service mandates), program-level strategies (staff training, learning collaboratives), and provider-level strategies (utilization of the GOALS). By Quarter 5, the GOALS was being utilized in a median of 84% of visits across programs (interquartile range: 54%-97%), and GOALS utilization was positively associated with provider adoption of HIV prevention interventions in practice. Programs that struggled with implementation had less buy-in from leadership and lower commitment to provider training; programs with upward implementation trends had less experience delivering sexual health care and used a phased approach to foster support, focusing on the positive reaction to the GOALS among their clients. These data suggest that a multilevel implementation strategy focused on delivery of antistigma, client-centered sexual histories may be a potent implementation strategy for enhancing HIV prevention intervention adoption. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • HIV Infections
  • Implementation Science
  • Patient-Centered Care
  • Medical History Taking
  • Male
  • Female
  • Adult
  • Sexual Behavior
  • Community-Institutional Relations
• Keywords:
  • implementation
  • HIV prevention
  • community-academic partnership
  • sexual history
  • program evaluation
• Source:
  Psychological Services, 2025, v. 22, no. 4
• DOI:
  https://doi.org/10.1037/ser0000935
• ISSN:
  1541-1559 ; 1939-148X
• Pubmed ID:
  40193513
• Pubmed Central ID:
  PMC12353673
• Document Type:
  Text
• Funding:
  U01 PS005239/PS/NCHHSTP CDC HHSUnited States/ ; US Department of Health and Human Services; Centers for Disease Control and Prevention/
• Genre:
  Journal Article
• Place as Subject:
  New York City
• Pages in Document:
  699-709 (23 pdf pages)
• Volume:
  22
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/261505/cdc_261505_DS1.pdf
• File Type:
  [PDF - 963.63 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:252fa79616d8226e38b91a4ea1af9f4c150a376dbc11d1d09ae9521dca269edd349794b023556b3c36adb99bc726e9456699ba9e8bee769a974f67d5669569a9